<p class="abstract"><strong>Background:</strong> A tympanoplasty is a surgical procedure to close a tympanic membrane perforation and reconstruct the tympanic membrane and hearing, commonly after chronic otitis media and trauma.</p><p class="abstract"><strong>Methods:</strong> 50 patients were divided into 2 groups and underwent type-1 tympanoplasty using temporalis fascia versus sliced tragal cartilage. The patient was placed in supine position. Antiseptic painting and draping was done. All cases were operated under local anaesthesia. Post aural approach with post aural Wilde’s incision with 15 number blade, the incision was made 5-10 mm posterior to post aural groove. Temporalis fascia graft was harvested. Tragal cartilage, incision was taken over the under surface of the tragus and tragal cartilage was sliced. </p><p class="abstract"><strong>Results:</strong> The mean duration of symptoms was 12.72 and 15.84 months in group A and B respectively. Reduced hearing was noted in 21 and 24 patients, ear discharge in 21 each and giddiness in 2 and 4 patients respectively in group A and B. The difference was non-significant when the symptoms were evaluated. Improvement in AB gap was significantly better in group B with a p value of 0.042. The mean improvement was 14.2 dB and 17 dB respectively.</p><p class="abstract"><strong>Conclusions:</strong> Type-1 tympanoplasty using the sliced tragal cartilage may be associated with better improvement in AB gap and can be regularly employed compared to temporalis fascia method.</p>
<p class="abstract"><strong>Background:</strong> Tonsillectomy is one of the common operative surgery performed by an ENT surgeon. With aim to reduce the hospital stay and post-operative complications, the use of antibiotics has become every common.</p><p class="abstract"><strong>Methods:</strong> 40 patients undergoing tonsillectomy were recruited into the study subsequent to obtaining informed consent. The patients were divided in to two groups, group A and group B. Both the groups were given tablet amoxicillin with clavulanic acid orally for 3 days prior to surgery and subsequently were administered injection amoxicillin and clavulanic acid intravenously 1 hour prior to surgery pre operatively. Only group A patients were given injection amoxicillin and clavulanic acid intravenously 12 hourly for 5 days in the post-operative period. The patients from both the groups were assessed on the following criteria: pain, slough in the tonsillar fossa, fever, clot formation and return to normal daily activities. </p><p class="abstract"><strong>Results:</strong> Both the groups were comparable with regard to demographics, post-operative infections, post-operative pain and time to return to normal daily activities. There was no cognisant difference for all the parameters assessed.</p><p class="abstract"><strong>Conclusions:</strong> Administration of antibiotics in patients undergoing tonsillectomy can be restricted to pre-operative antibiotics only as giving antibiotics post-operatively does not affect the clinical outcome and also prevents indiscriminate use of antibiotics which can lead to mutant antibiotic resistant strains of bacteria which can also have an economic impact.</p><p> </p>
patients may also have the turbinate hypertrophy which needs surgical management to achieve complete relief. Inferior turbinate hypertrophy is commonly carried out and it can be done with the help of various techniques which increases the nasal cavity and provides more room for the airflow. 4The aim of the present study was to assess and compare postoperative relief and complications after septoplasty and septoplasty with turbinectomy.
METHODSThis was a prospective observational study done on 50 patients with complaints of nasal block attending to the ABSTRACT Background: Nasal obstruction was the common symptom of deviated nasal symptom. Many surgical procedures are available to correct the deviation. The current study was aimed to assess and compare the postoperative relief and complications of septoplasty alone and septoplasty with turbinectomy. Methods: This prospective study was done on 50 patients with nasal blockage due to deviated nasal septum. Study was done at department of ENT, Dr. D.Y. Patil Medical College and Hospital, DPU between July 2016 to September 2018. Patients randomly selected and operated with septoplasty alone (n=25) and septoplasty with turbinectomy (n=25). Assessment and comparisons was made in terms of postoperative relief and complications in both the groups. Results: Significant postoperative relief was seen in group of patients after septoplasty with turbinectomy. Retained deviation and dryness of nose are the common complications observed in group of patients treated with septoplasty and septoplasty with turbinectomy respectively and on follow up of 4 weeks postoperatively the rate of frequency of complications was reduced in group of patients managed with septoplasty with turbinectomy. Conclusions: Postoperative relief and reduction in complication rate after 4 week follow-up was higher in group of patients operated with septoplasty with turbinectomy compared to group of patients managed with septoplasty alone.
During the current pandemic of COVID-19, numerous manifestations and complications have developed. As seen after the Second wave patients with COVID-19 are at high risk of fungal infections, such as mucormycosis, that may result directly from COVID-19 infection and/or as a side effect of the drugs used in the COVID-19 treatment protocol. Rhino-orbito-cerebral mucormycosis is a fungal infection that can be fatal especially in immunocompromised patients.
In this report, we described a series of 3 cases with frontal sinus osteomyelitis in post-COVID-19 diabetic patients diagnosed with mucormycosis.
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